Organization
SAFE HAVEN TRAUMA SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL BOWLER (OPERATIONS MANAGER)
(503) 523-9524
Entity
Organization
Contact information
Practice address
2505 21ST AVE S STE 303, NASHVILLE, TN 37212-5652
(615) 241-6130
Mailing address
2505 21ST AVE S STE 303, NASHVILLE, TN 37212-5652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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